<!DOCTYPE html>
<html>
<head lang="en">
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width,initial-scale=1.0,user-scalable=no,maximum-scale=1.0">
    <title>个人信息提交</title>
    <link rel="stylesheet" href="css/common.css"/>
    <link rel="stylesheet" href="css/main.css"/>
    <script src="js/zepto-1.2.0.js"></script>
    <script src="js/main.js"></script>
</head>
<body>
<div class="nav">
    <a class="logo" href="javascript:;"></a>
    <a class="myClass" href="javascript:;">我的小组</a>
    <a class="a_nav" href="javascript:;"></a>
</div>
<header></header>
<section>
    <form action="" method="post" name="form_vip">
        <div class="form_edit">
            <dl>
                <dt>手机号码&nbsp;&nbsp;&nbsp;&nbsp;<span style="display: none;" class="em_red">*请填写正确的手机号码</span></dt>
                <dd><input type="tel" placeholder="Your Tel" class="inp_active inp_tel" autofocus></dd>
            </dl>
            <dl>
                <dt>所在小区</dt>
                <dd><input type="text" placeholder="Your Block"></dd>
            </dl>
            <dl>
                <dt>孩子年龄</dt>
                <dd><input type="number" min="3" max="80" placeholder="Child Age"></dd>
            </dl>
            <dl>
                <dt>家长姓名</dt>
                <dd><input type="text" placeholder="Parent Name"></dd>
            </dl>
            <dl>
                <dt>孩子姓名</dt>
                <dd><input type="text" placeholder="Child Name"></dd>
            </dl>
            <dl>
                <dt>详细住址</dt>
                <dd><input type="text" placeholder="Detail address"></dd>
            </dl>
        </div>
        <div class="div_submit">
            <a class="a_alipay" href="#">保存</a>
        </div>
    </form>
</section>
<footer></footer>
<div class="list_nav">
    <li><a href="index.html">首页</a></li>
    <li><a href="index.html">正式课程</a></li>
    <li><a href="javascript:;">预约试听</a></li>
    <li><a href="groupNearby.html">附近小组</a></li>
    <li><a href="vipCenter.html">个人中心</a></li>
</div>
</body>
</html>